63981_Robert Lindley_20190319

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0 FILL.
� ' C/#MA,�� DRED ile-&• - '" �. •NO: 729SS_'.
.: PERMIT ) : : ,'' I: = „" . - . A ''. ' DGE"NERALi: s; Previous permit# - :.I'/
,"'";?:1:-).---.. -`[ IVew'':"0Modifcation-. :LConiplete.Reissue. 0Partial`Reissue` Date'.previous permit issued` _`'-A.'// ' r
As authorized by the State of,North Carolina;'Department of Environmental Quality ' - - _ -
and the Coastal Resources.Commission in ar-rarea of-environmental concern pursuant to.I 5A NCAC' .•, 0:7/-!. /Z-O?� '' ,
Rules attached.
Applicant Name":i_i7 ? 2/s,t/.L: ' :Project Location: County E-,�+•z-,�"0.12.-I- -
Address!' " ' - Z. -e,/ 05'' )/% - Street-Address/-,State Road/Lot'#(s)'py- -•S� :/-3.3•?
'• City '7/-r1Yf t.State ._ ZIP =2"7 • • e �o '/: / • S AE'/9�, ,C j , - • .
Phone#(242) -ryZJ--D7 . zE—Mail`., ,:Subdivision-'h =:4GIL.i2,.i195 • - >t
Authorized Agent �/ S'. /r!1.!-iz/s= -E -' • _City 1 .4- -J' • - ' -ZIP ,2 �8 •
Affected ❑CW ❑EW TA Ill ES • ❑PTS "j Phone#•( ) River-Basin -p-il�A/;-1'./rtj
❑OEA ❑HHF ❑IH ❑,UBA N/A �� 1
AEC(s):-. . Adj.Wtr. Body 3A -r 1-1 ( )//man /unkn
• ❑PWS: ,
' Closest Maj.Wtr. Body , 4"'7Z-/-t v' /y —= g, '
no
ORW: yes / . PNA yes no Z,�It.
Type of Project/Activity / is ,se L.I- -F
p /3 � /2 G,..,_/co I,& E.-y") P-)A.--i,I, .1
• (Scale: / 3 D )., . ,
,Pier(dock)length
Fixed Platform(s) I.
I I . 1 t- _)/4-71-/-A ...I' .g--X --, ;"!:
Flow ing Platform(s) ``I 's I• / ' ' u
Finger pier(a) i t--/5 TA 4 i / •I ` '.ram
'Groin length ci�IGo �e �� , I I 7''1'' i '0
-number /3 'i /3 ' '.�, 1\ - I
-dan- 7.i y- I T_ / \ 1 .
Bulkhead/Riprap length
avg distance offshore f I t 'I p,4-••T' --bZ 3-'1 -/c�A
y max distance offshore I I • J _ .); • '
,. Basir'channel l •
—, cubic yards' - -
Boat ramp ( i •
Boathouse./BBoatlift)C4 rl..--o[�& 0'3Q ( 1 . 1
/3' ,ie /3 -
Beach Bulldozing _ •, I
Other _
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4-7 _
Shoreline Length �� I e� r""— • �' . :,
IL.
u,. -1.,.�--'----1"_ 7ird1 Poi v /
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SAV: not sure yes no ----- — ^
Moratorium: n/a yes no rl• id (� U,
-. Photos: yes no /}. Q 1- I/y
- I
Waiver Attached: yes ToI ! I I •
A building permit may be required by: . ,®See note on back regarding River Basin rules. •
• (Note Local Planning Jurisdiction)
Notes/Special Conditions /_rrr /- ‘ ,4'' r,,,1-r,c.1_,.r--`---c) G-A w rcJ • mow,,) ,iz 12A--, ,-1 -7 0,--'r-../ C,
L.C../l--1 P/ in_-�.1><'G i.= rf--.�-.r-f-N---/? -
' Agent or pplicant Printed Name ermitOfficer s Printed Name
.- .4", i il e r A.---fit k. -7------1-. ,
' Signature *4'-Kdase read compliance statement on back of permit** • Signature-- ,
r p�
' - • ' ` : /i3 r /9�1� ��-/> 20/, • L`7 �b/'7 .
2"Oc>��
Application Fee(s) ' Check# Issuing Date Expiration Date

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Authorized Agent Consent Agreement
q 0e E-da., x 0 .Z./id herb
(Property Owner(s) _herby
(Property Jay Tetteton of
V's Marine Construction,LLC to act on my behalf in obtaining CAM. permits
.,- for
the location listed below.
PROPERTY,ADDRESS:
/ &hc
PROPERTY, OWNER'S MAILING ADDRESS:
57 SA
_
Phone No. o.5<- �6./7- s �G3
PROPERTY OWNER'S SIGNATURL'i-f r}ice
AUTHORIZED.AGENT SIGNATURE: 12_,Ukt Mgrfelli
BINTETTERTON.'
•
DATE: CI- f 20/9
W/Authorised Agent ConsentAgree, •

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F P Tr E
- - ':i herebr certify that!own Property adjacent to , • 7-
' ame-
prOPerty loCated at ( 57 cd&I) ,fW ...1 of PropartV0amer): ,':eze3
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.._h (Address,Lot,Blec k-toad;etc)enAgAT; in '
ne;mdteomm,
(CitY/Towitand/or County),
•-• • • . The.appli ,--Iithea-deactibed-tO me, as shown below,.the development,Proposed at-the above
fc
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I have no objection to this proposal.
ilicalt , __,...... I have-objectiens to this proposal.
_ ,DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT ,.-. . •
• (!ndlyAlusf.prOpos/ng_Otil;e1Opinent I,nostgitn oreOoription.Wow or attach ti site drawln9)
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• WAIVER SECTION- re-Alb-1,`4,-1 4-7-7Thie_h_W)
- 41.ttemrt •
I-understand that a pier, dock, mooring pilings,boat ramp, breakwater,.boathousa;lift,-or groin
must be set back'a MiniMum-diSience of I&from my area of riparian access unteta Waived by
me. if ou wish tom:wets setback,WILI• riltiallt*ppprippriatisi blank below.) - -
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, Ar. - I do wish to waivete 151-setback,requireMent .
. ,___„__, ..,____/do alig.Waft to Waive the 151 setback requirement . -
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(F art Pw0 - Iniermatinfa) - - ' ' (Adjacent Pro;.'-c. ' rInfennetIon)
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i,frelephonoNunberfeggectcrs Telephone NinberIgnnlleclressc to/9
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(Revisor!Aug.2014)
Walidfor one calendar year after signature* . • -'
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4446(1.
TOWN OF BATH BATH, NORTH CAROLINA DATE /- J/C�'- /9'
BOOK NO. PERMIT FEE PERMIT No.
APPLICATION FOR: BUILDING PERMIT( ) ZONING COMPLIANCE CERTIFICATE (V)
Name & License No. Address: Phone No.:
OWNER iP. 't 2;4 4f/ I/clJeap+c�,r dCa> dod 7 y / .9
CONTRACTOR s o- Oo-IlC "My /S 6h 6,7i2-19-1 3/7,
DESIGNER
SURVEYOR
ELECTRICAL -rni'
PLUMBING
TYPE OF IMPROVEMENT
NEW V ADDITION ( ) ALTERATION: INSIDE ( ) REPAIR: INSIDE ( ) MOVE ( )
OUTSIDE( ) OUTSIDE ( ) LOCATE ( )
Lot No. Block No. Building located at f�'� ez4e Ids 6314
between and Streets. Building to be used s
. Type Construction Cho cf- L �- n_ V 1 u
Number of off street parking spaces . Contains rooms and bath(s).
Total square feet of building . Electric Servic . Type of heat
. o. lumbi fixtures . Foundation block caps
4"( ) 8"( ). Corner bracing: Plywood ( /))( io Insulation: Floor
'
Walls , Ceiling i Windows: Storm ( )Thermal ( ). How many exterior doors
. Water He_ate : Gas( ) Electric ( ) Other
Roof Ventilation: Gable' Eaves Louvers
( ) ( ) ( ) Other Ventilation
crawl space, ber of feet apart . Height of crawlspace under house: 18"( ) 24"( )
Other . Zone . Water and Sewer Tap: Paid ( ) N/A ( ) Size water tap
Size sewer tap: .Total Estimated Cost Flood elevation

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BUILDING INSPECTION DEPARTMENT COMMENTS: .,5t.,1E31vtMat "PmG,AAJS GALL i re-
�I3`�t3o�e+EG.r X' Q.
f t! siec
t S I I ts/i1 ��� / BAfT/Z A�.T��i 'S MTJ/ef S S :Udine
&77deeaL 7'etol+oSE4 WWI— 4140 A b 4GE.v 7" PP.o PE,2N L,,, JE.
?BoPD6kZ L-m-r- Pc1J3 E2(1S771-46 L/FT-6.J So(c,171 Sloe. off' /a16e.
mu-u- '73 4-/A-1 G -ra Td,t. /s La o S . ke 7-74;t3Am
GENERAL COMMENTS:, b, ed el aeQfre1'744-- ,� ee 4, a ot.)MI6.
4e-r-t ,'s 1(9 ' wee- Xiiee toi4//
See Mace, /4%
CITY LICENSE NUMBER: dro?E/
Contractor/ Electrician Plumber/Heating
Application approved by: Z.— /7
The owner of this building and the undersigned agree to conform to all applicable laws of the Town of
Bath, orth Caroli a.
40- 6i /41:11w-1111..
Signature of Applicant
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Effective 8/10/04, there is a $50.00 filing fee for all permits, including zoning compliance application.
Any construction that requires installation of water or wastewater services may:
A) Be installed by owners, contactors or
B) Be installed by Town of Bath Utilities Department
All components must be compatible with existing water/wastewater materials, including Myers pumps.
Bath Utilities Department must inspect all construction prior to services becoming operational. Inspection
fee is $100.00.

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